针灸临床杂志
針灸臨床雜誌
침구림상잡지
JOURNAL OF CLINICAL ACUPUNCTURE AND MOXIBUSTION
2014年
3期
23-26
,共4页
针刺%热砭锥%周围性面瘫%面神经麻痹
針刺%熱砭錐%週圍性麵癱%麵神經痳痺
침자%열폄추%주위성면탄%면신경마비
Acupuncture%Thermal-Bian-cone%Peripheral facial paralysis%Facial nerve palsy
目的：观察针刺配合热砭锥疗法治疗恢复期周围性面瘫的临床疗效。方法：将60例恢复期周围性面瘫患者按就诊顺序随机分为治疗组和对照组，每组各30例。对照组采用常规针刺治疗，治疗组在常规针刺基础上，加用热砭锥手法治疗，10天1个疗程，共观察2个疗程。使用House-Brackmann量表及日本神经研究会提议的“40分法”对患者治疗前后面神经麻痹程度进行判定评分。结果：2个疗程后，对照组愈显率为86．7％，治疗组愈显率为93．3％，两者差异无统计学意义（P＞0．05）。两组患者“40分法”的各项评分均较治疗前增高（ P＜0．05）；第1疗程结束后，治疗组在吹哨、蹙额、示齿、口呈一字等4个项目分值差高于对照组（P＜0．05），余各项目差异无统计学意义（P＞0．05）。结论：与常规针刺治疗比较，针刺配合热砭锥疗法对恢复期周围性面瘫的症状治愈率更高，对临床症状特别是吹哨、蹙额、示齿、口呈一字等，改善更为明显。
目的：觀察針刺配閤熱砭錐療法治療恢複期週圍性麵癱的臨床療效。方法：將60例恢複期週圍性麵癱患者按就診順序隨機分為治療組和對照組，每組各30例。對照組採用常規針刺治療，治療組在常規針刺基礎上，加用熱砭錐手法治療，10天1箇療程，共觀察2箇療程。使用House-Brackmann量錶及日本神經研究會提議的“40分法”對患者治療前後麵神經痳痺程度進行判定評分。結果：2箇療程後，對照組愈顯率為86．7％，治療組愈顯率為93．3％，兩者差異無統計學意義（P＞0．05）。兩組患者“40分法”的各項評分均較治療前增高（ P＜0．05）；第1療程結束後，治療組在吹哨、蹙額、示齒、口呈一字等4箇項目分值差高于對照組（P＜0．05），餘各項目差異無統計學意義（P＞0．05）。結論：與常規針刺治療比較，針刺配閤熱砭錐療法對恢複期週圍性麵癱的癥狀治愈率更高，對臨床癥狀特彆是吹哨、蹙額、示齒、口呈一字等，改善更為明顯。
목적：관찰침자배합열폄추요법치료회복기주위성면탄적림상료효。방법：장60례회복기주위성면탄환자안취진순서수궤분위치료조화대조조，매조각30례。대조조채용상규침자치료，치료조재상규침자기출상，가용열폄추수법치료，10천1개료정，공관찰2개료정。사용House-Brackmann량표급일본신경연구회제의적“40분법”대환자치료전후면신경마비정도진행판정평분。결과：2개료정후，대조조유현솔위86．7％，치료조유현솔위93．3％，량자차이무통계학의의（P＞0．05）。량조환자“40분법”적각항평분균교치료전증고（ P＜0．05）；제1료정결속후，치료조재취초、축액、시치、구정일자등4개항목분치차고우대조조（P＜0．05），여각항목차이무통계학의의（P＞0．05）。결론：여상규침자치료비교，침자배합열폄추요법대회복기주위성면탄적증상치유솔경고，대림상증상특별시취초、축액、시치、구정일자등，개선경위명현。
Objective:To observe the clinical effect on curing peripheral facial paralysis in convalescence with thermal-Bian-cone combined with acupuncture therapy .Methods:60 patients with peripheral facial paralysis in convalescence were randomly divided into treatment group ( n=30 , thermal-Bian-cone combined with ac-upuncture group ) and control group ( n=30 , acupuncture group ) .Observation period was two treatment cour-ses (20 days) in each group.Observations included curative effect and the main symptoms before and after treatment , by using the House-Brackmann scale and the “40-point method”.Results:The obvious effective rate of the treatment group (93.3%) had no significant difference in the data of the control group (86.6%) af-ter the treatment ( P>0 .05 ) .All scores of“40-point method” of two groups were all improved compared with that before treatment ( P<0 .05 ) .Except for the scores of whistling , forehead lifting , grinning and zipping mouth were higher than those in the control group ( P<0 .05 ) , and other scores of “40-point method” had no statistical significance ( P>0 .05 ) .Conclusion:Both of thermal-Bian-cone therapy combined with acupunc-ture and acupuncture can treat the peripheral facial paralysis in convalescence , however , the obviously effective rate of the former was higher than the latter ,especially in some clinical symptoms like whistling , forehead lift-ing, grinning and zipping mouth .
